PMID- 29254527
OWN - NLM
STAT- MEDLINE
DCOM- 20180731
LR  - 20180731
IS  - 1873-2607 (Electronic)
IS  - 0749-3797 (Linking)
VI  - 54
IP  - 1S1
DP  - 2018 Jan
TI  - Challenges in Developing U.S. Preventive Services Task Force Child Health 
      Recommendations.
PG  - S63-S69
LID - S0749-3797(17)30478-6 [pii]
LID - 10.1016/j.amepre.2017.08.023 [doi]
AB  - The U.S. Preventive Services Task Force (USPSTF) uses an objective evidence-based 
      approach to develop recommendations. As part of this process, the USPSTF also 
      identifies important research gaps in scientific evidence. In March 2016, the 
      USPSTF convened an expert panel to discuss its portfolio of child and adolescent 
      recommendations and identify unique methodologic issues when evaluating evidence 
      regarding children and adolescents. The panel identified key domains of 
      challenges, including measuring patient-centered health outcomes; identifying 
      intermediate outcomes predictive of important health outcomes; evaluating the 
      long time horizon needed to assess the balance of benefits and harms; 
      understanding trajectories of growth and development that result in unique 
      windows of time when expected benefits or harms of a preventive service can vary; 
      and considering the perspectives of other individuals who might be affected by 
      the delivery of a preventive service to a child or adolescent. Although the 
      expert panel expressed an interest in being able to make more recommendations for 
      or against preventive services for children and adolescents, it also reinforced 
      the importance of ensuring recommendations were based on sound and sufficient 
      evidence to ensure greatest benefit and minimize unnecessary harms. Accordingly, 
      the need to highlight areas with insufficient evidence is as important as making 
      recommendations. Having identified these key challenges, the USPSTF and other 
      organizations issuing guidelines have an opportunity to advance their methods of 
      evidence synthesis and identified evidence gaps represent important opportunities 
      for researchers and policy makers.
CI  - Copyright (c) 2017 American Journal of Preventive Medicine. All rights reserved.
FAU - Kemper, Alex R
AU  - Kemper AR
AD  - U.S. Preventive Services Task Force, current or former member; Nationwide 
      Children's Hospital, Columbus, Ohio. Electronic address: 
      alex.kemper@nationwidechildrens.org.
FAU - Krist, Alex H
AU  - Krist AH
AD  - U.S. Preventive Services Task Force, current or former member; Department of 
      Family Medicine and Population Health, Virginia Commonwealth University, 
      Richmond, Virginia.
FAU - Tseng, Chien-Wen
AU  - Tseng CW
AD  - U.S. Preventive Services Task Force, current or former member; Department of 
      Family Medicine and Community Health, University of Hawaii John A. Burns School 
      of Medicine and Pacific Health Research and Education Institute, Honolulu, 
      Hawaii.
FAU - Gillman, Matthew W
AU  - Gillman MW
AD  - U.S. Preventive Services Task Force, current or former member; Division of 
      Chronic Disease Across the Lifecourse, Harvard Medical School and Harvard Pilgrim 
      Health Care, Boston, Massachusetts; Environmental Influences on Child Health 
      Outcomes Program, Office of the Director, NIH, Rockville, Maryland.
FAU - Mabry-Hernandez, Iris R
AU  - Mabry-Hernandez IR
AD  - Center for Evidence and Practice Improvement, Agency for Healthcare Research and 
      Quality, Rockville, Maryland.
FAU - Silverstein, Michael
AU  - Silverstein M
AD  - U.S. Preventive Services Task Force, current or former member; Department of 
      Pediatrics, Boston University School of Medicine, Boston, Massachusetts.
FAU - Chou, Roger
AU  - Chou R
AD  - Department of Medical Informatics and Clinical Epidemiology, Oregon Health and 
      Science University, Portland, Oregon.
FAU - Lozano, Paula
AU  - Lozano P
AD  - Kaiser Permanente Washington Health Research Institute, Seattle, Washington.
FAU - Calonge, B Nedrow
AU  - Calonge BN
AD  - U.S. Preventive Services Task Force, current or former member; The Colorado 
      Trust, Denver, Colorado.
FAU - Wolff, Tracy A
AU  - Wolff TA
AD  - Center for Evidence and Practice Improvement, Agency for Healthcare Research and 
      Quality, Rockville, Maryland.
FAU - Grossman, David C
AU  - Grossman DC
AD  - U.S. Preventive Services Task Force, current or former member; Kaiser Permanente 
      Washington Health Research Institute, Seattle, Washington; Department of Health 
      Services and Pediatrics, University of Washington, Seattle, Washington.
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Am J Prev Med
JT  - American journal of preventive medicine
JID - 8704773
SB  - IM
MH  - Adolescent
MH  - Advisory Committees/*standards
MH  - Child
MH  - *Child Health
MH  - Child Health Services/standards
MH  - Evidence-Based Medicine/*methods/standards
MH  - Humans
MH  - Preventive Health Services/*standards
MH  - United States
EDAT- 2017/12/20 06:00
MHDA- 2018/08/01 06:00
CRDT- 2017/12/20 06:00
PHST- 2017/04/26 00:00 [received]
PHST- 2017/06/29 00:00 [revised]
PHST- 2017/08/22 00:00 [accepted]
PHST- 2017/12/20 06:00 [entrez]
PHST- 2017/12/20 06:00 [pubmed]
PHST- 2018/08/01 06:00 [medline]
AID - S0749-3797(17)30478-6 [pii]
AID - 10.1016/j.amepre.2017.08.023 [doi]
PST - ppublish
SO  - Am J Prev Med. 2018 Jan;54(1S1):S63-S69. doi: 10.1016/j.amepre.2017.08.023.